In the Wild, Amazing encounters with Jesus
Lenox Baptist Church Monday June 10 - Friday June 14th 6-8:30pm *DINNER SERVED
Child's NAME *
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Contact Phone Number *
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Emergency Contact #2
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Emergency Contact #3
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Parent's Name *
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Child's AGE *
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Child's Birthday *
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What grade was your Child in when school ended? *
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Home Address *
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contact email
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***Opt out: I choose to drop off my children in the back of the church in the drop off line. I am providing my digital signature below, giving permission for my children to be supervised by LBC VBS workers
Does your child have any food allergies or medical conditions we need to be aware of? *Please answer (none) or with the specific concern/allergy we need to be aware of. *
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Please let us know your child's t-Shirt size *
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Social Media *
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